Please enter your EORTC QLQ-C30 responses (values between 0 and 100, use -1 for missing):

Role Functioning:

Physical Functioning:

Emotional Functioning:

Cognitive Functioning:

Social Functioning:

Fatigue:

Nausea and Vomiting:

Pain:

Dyspnoea:

Insomnia:

Loss of Appetite:

Constipation:

Diarrhoea:

Global Health Status:

Please enter your EORTC QLQ-H&N35 responses (values between 0 and 100, use -1 for missing):

Pain:

Speech Problems:

Sexuality:

Dry Mouth:

Feeling Ill:

Swallowing:

Social Eating:

Teeth:

Saliva:

Senses (taste/smell):

Social Contacts:

Opening Mouth:

Cough: